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General NPI Number Information
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NPI Number | 1568258812
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Entity Type | Organization
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Legal Business Name | MOSAIC MINDS ABA LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1352 E 1ST ST STE Q
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City | MISSION
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State | TX
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Zip | 78572-5951
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Country | US
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Telephone | 956-802-1598
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 COTTONWOOD ST
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City | MISSION
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State | TX
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Zip | 78574-3630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER ARISMENDEZ
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Credential |
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Telephone | 956-802-1598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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